Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12895 | Date 12/12/2023 |
| Token No | SM/22-23/27055 12/12/2023 | Serial | 004 Last Visit: 12/12/2023 |
| Patient Name | Mrs. PAYEL SAHA | Contact No | |
| Address | CHATRA HOOGHLY | Age | 30 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||